Billing

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Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims

The code list for drugs has been updated.

Preventive services: Coverage determination

Find information on local and national coverage determinations specific to preventive services.

Preventive services: Coverage determination

Find information on local and national coverage determinations specific to preventive services.

Prompt payment interest rate revision

The interest period begins on the day after payment is due and ends on the day of payment. The new rate of 4.625% is in effect January through July 2025.

Prompt payment interest rate revision

The interest period begins on the day after payment is due and ends on the day of payment. The new rate of 4.625% is in effect January through July 2025.

Medicare Diabetes Prevention Program (MDPP) changes for calendar year 2026

Read this article for important changes and revisions to the MDPP program for calendar year 2026.

Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease

Medicare will pay for Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease. Please review this article and pay close attention to the billing…

Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease

Medicare will pay for Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease. Please review this article and pay close attention to the billing…

Pre-exposure prophylaxis (PrEP) using antiretroviral drugs to prevent human immunodeficiency virus (HIV) infection

Read this article for information on billing PrEP for HIV drugs.

Billing for vein ablation services? Access our LCD guidelines

Based on claims reviewed by the recovery audit contractor (RAC), First Coast has identified top denials for services within the category of vein ablation (codes 36475 and 36478) relating to…